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Saturday, August 25, 2007

NCLEX Test Review

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1. A nurse is reviewing a patient’s medication during shift change. Which of the following medication would be contraindicated if the patient were pregnant? Note: More than one answer may be correct.

A. Coumadin
B. Finasteride
C. Celebrex
D. Catapress
E. Habitrol
F. Clofazimine

(A) and (B) are both contraindicated with pregnancy.

2. A nurse is reviewing a patient’s PMH. The history indicates photosensitive reactions to medications. Which of the following drugs has not been associated with photosensitive reactions? Note: More than one answer may be correct.

A. Cipro
B. Sulfonamide
C. Noroxin
D. Bactrim
E. Accutane
F. Nitrodur

(F) All of the others have can cause photosensitivity reactions

3. A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following patient’s medication does not cause urine discoloration?

A. Sulfasalazine
B. Levodopa
C. Phenolphthalein
D. Aspirin

(D) All of the others can cause urine discoloration.

4. You are responsible for reviewing the nursing unit’s refrigerator. If you found the following drug in the refrigerator it should be removed from the refrigerator’s contents?

A. Corgard
B. Humulin (injection)
C. Urokinase
D. Epogen (injection)

(A) Corgard could be removed from the refigerator.

5. A 34 year old female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb?

A. IgA
B. IgD
C. IgE
D. IgG

(D) IgG is the only immunoglobulin that can cross the placental barrier.

6. A second year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most important action that nursing student should take?

A. Immediately see a social worker
B. Start prophylactic AZT treatment
C. Start prophylactic Pentamide treatment
D. Seek counseling

(B) AZT treatment is the most critical innervention.

7. A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect?

A. Atherosclerosis
B. Diabetic nephropathy
C. Autonomic neuropathy
D. Somatic neuropathy

(C) Autonomic neuropathy can cause inability to urinate.

8. You are taking the history of a 14 year old girl who has a (BMI) of 18. The girl reports inability to eat, induced vomiting and severe constipation. Which of the following would you most likely suspect?

A. Multiple sclerosis
B. Anorexia nervosa
C. Bulimia
D. Systemic sclerosis

(B) All of the clinical signs and systems point to a condition of anorexia nervosa.

9. A 24 year old female is admitted to the ER for confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Which of the following would you most likely suspect?

A. Diverticulosis
B. Hypercalcaemia
C. Hypocalcaemia
D. Irritable bowel syndrome

(B) Hypercalcaemia can cause polyuria, severe abdominal pain, and confusion.

10. Rho gam is most often used to treat____ mothers that have a ____ infant.

A. RH positive, RH positive
B. RH positive, RH negative
C. RH negative, RH positive
D. RH negative, RH negative

(C) Rho gam prevents the production of anti-RH antibodies in the mother that has a Rh positive fetus.

11. A new mother has some questions about (PKU). Which of the following statements made by a nurse is not correct regarding PKU?

A. A Guthrie test can check the necessary lab values.
B. The urine has a high concentration of phenylpyruvic acid
C. Mental deficits are often present with PKU.
D. The effects of PKU are reversible.

(D) The effects of PKU stay with the infant throughout their life.

12. A patient has taken an overdose of aspirin. Which of the following should a nurse most closely monitor for during acute management of this patient?

A. Onset of pulmonary edema
B. Metabolic alkalosis
C. Respiratory alkalosis
D. Parkinson’s disease type symptoms

(D) Aspirin overdose can lead to metabolic acidosis and cause pulmonary edema development.

13. A fifty-year-old blind and deaf patient has been admitted to your floor. As the charge nurse your primary responsibility for this patient is?

A. Let others know about the patient’s deficits.
B. Communicate with your supervisor your patient safety concerns.
C. Continuously update the patient on the social environment.
D. Provide a secure environment for the patient.

(D) This patient’s safety is your primary concern.

14. A patient is getting discharged from a SNF facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breath easily. Which of the following would be the best instruction for this patient?

A. Deep breathing techniques to increase O2 levels.
B. Cough regularly and deeply to clear airway passages.
C. Cough following bronchodilator utilization
D. Decrease CO2 levels by increase oxygen take output during meals.

(C) The bronchodilator will allow a more productive cough.

15. A nurse is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely be present?

A. Slow pulse rate
B. Weight gain
C. Decreased systolic pressure
D. Irregular WBC lab values

(B) Weight gain is associated with CHF and congenital heart deficits.

16. A mother has recently been informed that her child has Down’s syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down’s syndrome?

A. Simian crease
B. Brachycephaly
C. Oily skin
D. Hypotonicity

(C) The skin would be dry and not oily.

17. A patient has recently experienced a (MI) within the last 4 hours. Which of the following medications would most like be administered?

A. Streptokinase
B. Atropine
C. Acetaminophen
D. Coumadin

(A) Streptokinase is a clot busting drug and the best choice in this situation.

18. A patient asks a nurse, “My doctor recommended I increase my intake of folic acid. What type of foods contain the highest concentration of folic acids?”

A. Green vegetables and liver
B. Yellow vegetables and red meat
C. Carrots
D. Milk

(A) Green vegetables and liver are a great source of folic acid.

19. A nurse is putting together a presentation on meningitis. Which of the following microorganisms has noted been linked to meningitis in humans?

A. S. pneumonia
B. H. influenza
C. N. meningitis
D. Cl. difficile

(D) Cl. difficile has not been linked to meningitis.

20. A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long to RBC’s last in my body? The correct response is.

A. The life span of RBC is 45 days.
B. The life span of RBC is 60 days.
C. The life span of RBC is 90 days.
D. The life span of RBC is 120 days.

(D) RBC’s last for 120 days in the body.

21. A 65 year old man has been admitted to the hospital for spinal stenosis surgery. When does the discharge training and planning begin for this patient?

A: Following surgery
B: Upon admit
C: Within 48 hours of discharge
D: Preoperative discussion

(B) Discharge education begins upon admit.


22. A child is 5 years old and has been recently admitted into the hospital. According to Erickson which of the following stages is the child in?

A: Trust vs. mistrust
B: Initiative vs. guilt
C: Autonomy vs. shame
D: Intimacy vs. isolation

(B) Initiative vs. guilt- 3-6 years old

23. A toddler is 16 months old and has been recently admitted into the hospital. According to Erickson which of the following stages is the toddler in?

A: Trust vs. mistrust
B: Initiative vs. guilt
C: Autonomy vs. shame
D: Intimacy vs. isolation

(A) Trust vs. Mistrust- 12-18 months old

24. A young adult is 20 years old and has been recently admitted into the hospital. According to Erickson which of the following stages is the adult in?

A: Trust vs. mistrust
B: Initiative vs. guilt
C: Autonomy vs. shame
D: Intimacy vs. isolation

(D) Intimacy vs. isolation- 18-35 years old

25. A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?

A: 11 year old male – 90 b.p.m, 22 resp/min. , 100/70 mm Hg
B: 13 year old female – 105 b.p.m., 22 resp/min., 105/60 mm Hg
C: 5 year old male- 102 b.p.m, 24 resp/min., 90/65 mm Hg
D: 6 year old female- 100 b.p.m., 26 resp/min., 90/70mm Hg

(B) HR and Respirations are slightly increased. BP is down.

26. When you are taking a patient’s history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patient most likely be taking?

A: Elavil
B: Calcitonin
C: Pergolide
D: Verapamil

(A) Elavil is a tricyclic antidepressant.

27. Which of the following conditions would a nurse not administer erythromycin?

A: Campylobacterial infection
B: Legionnaire’s disease
C: Pneumonia
D: Multiple Sclerosis

(D) Erythromycin is used to treat conditions A-C.

28. A patient’s chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute?

A: Decreased HR
B: Paresthesias
C: Muscle weakness of the extremities
D: Migranes

(D) Answer choices A-C were symptoms of acute hyperkalemia.

29. A patient’s chart indicates a history of ketoacidosis. Which of the following would you not expect to see with this patient if this condition were acute?

A: Vomiting
B: Extreme Thirst
C: Weight gain
D: Acetone breath smell

(C) Weight loss would be expected.

30. A patient’s chart indicates a history of meningitis. Which of the following would you not expect to see with this patient if this condition were acute?

A: Increased appetite
B: Vomiting
C: Fever
D: Poor tolerance of light

(A) Loss of appetite would be expected.


SOURCE: http://www.nclexinfo.com


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